<style>

</style>

<form action="{:webUrl('form.module/model')}" method="post" class="form-horizontal form-validate" enctype="multipart/form-data">

    <div class="modal-dialog">
        <div class="modal-content">
            <div class="modal-header">
                <button data-dismiss="modal" class="close" type="button">×</button>
                <h4 class="modal-title">自定义模态框</h4>
            </div>

            <div class="modal-body">

                <div class="tabs-container">

                    <div class="tabs">
                        <div class="tab-content">

                            <div class="form-group"></div>
                            <div class="form-group">
                                <label class="col-sm-2 control-label">真实姓名</label>
                                <div class="col-sm-9 col-xs-12">
                                    <input type="text" name="applyrealname" class="form-control" value="" data-rule-number='false' data-rule-required='false'/>
                                </div>
                            </div>

                            <div id="tab-3" class="tab-pane active">
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">银行名称</label>
                                    <div class="col-sm-9 col-xs-12">
                                        <input type="text" name="bankname" class="form-control" value="" data-rule-number='false' data-rule-required='false'/>
                                    </div>
                                </div>
                                <div class="form-group">
                                    <label class="col-sm-2 control-label">银行卡号</label>
                                    <div class="col-sm-9 col-xs-12">
                                        <input type="text" name="bankcard" class="form-control" value="" data-rule-number='false' data-rule-required='false'/>
                                    </div>
                                </div>
                            </div>

                        </div>
                    </div>
                </div>

                <div class="form-group">
                    <label class="col-sm-2 control-label">备注</label>
                    <div class="col-sm-9 col-xs-12">
                        <textarea name="remark" class="form-control richtext" cols="70"></textarea>
                    </div>
                </div>

            </div>

            <div class="modal-footer">
                <button class="btn btn-primary btn-submit" type="submit">确认</button>
                <button data-dismiss="modal" class="btn btn-default" type="button">取消</button>
            </div>
        </div>
    </div>

</form>

<script language='javascript'>

</script>

